| Elite Legacy Collective, Llc | |
|
9712 Belair Rd Ste 304 Nottingham MD 21236-1113 | |
| (410) 538-2422 | |
| (410) 538-2944 |
| Full Name | Elite Legacy Collective, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9712 Belair Rd Ste 304, Nottingham, Maryland |
| Authorized Official Name and Position | Dana Truesdale (OWNER) |
| Authorized Official Contact | 8046148812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Legacy Collective, Llc 9712 Belair Rd Ste 304 Nottingham MD 21236-1113 Ph: (410) 538-2422 | Elite Legacy Collective, Llc 9712 Belair Rd Ste 304 Nottingham MD 21236-1113 Ph: (410) 538-2422 |
| NPI Number | 1548119092 |
|---|---|
| Provider Enumeration Date | 01/27/2026 |
| Last Update Date | 01/27/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548119092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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